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史红斐,郑晓红.头皮针抽提法对脑血栓形成后恢复期偏瘫患者运动功能的影响[J].,2007,(4):361-363
头皮针抽提法对脑血栓形成后恢复期偏瘫患者运动功能的影响
Effect of Scalp Acupuncture Drawing Method on Motor Function in Hemiplegic Patients following Cerebral Thrombosis at Convalescent Period
  
DOI:
中文关键词:  偏瘫  脑血栓形成  恢复期  运动功能  头皮针抽提法
英文关键词:hemiplegia  cerebral thrombosis  convalescent period  motor function  scalp acupuncture drawing method
基金项目:
Author NameAffiliation
SHI Hong-fei 浙江大学医学院附属第一医院城站院区 杭州310009 
ZHENG Xiao-hong 浙江大学医学院附属第一医院城站院区 杭州310009 
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中文摘要:
      目的观察头皮针抽提法对脑血栓形成后恢复期偏瘫患者运动功能的影响。方法采用随机单盲对照的方法,将93例脑血栓形成后恢复期偏瘫患者随机分为3组,3组在神经内科常规药物治疗基础上,治疗组(31例)加头皮针抽提法;对照Ⅰ组(31例)加头皮针捻转法;对照Ⅱ组(31例):仅采用神经内科常规药物治疗,疗程均为4周。结果治疗前,3组的肢体运动神经功能缺损和日常生活活动(ADL)能力积分相近,差异均无显著性(P>0.05);治疗4周后,治疗组和对照Ⅰ组肢体运动神经功能缺损评分均显著低于对照Ⅱ组(P<0.01,P<0.05),ADL能力评分均显著高于对照Ⅱ组(P<0.01,P<0.05),且治疗组评分值的变化均显著大于对照Ⅰ组(P<0.05)。结论头皮针抽提法对改善脑血栓形成后恢复期偏瘫患者运动功能,提高患者ADL能力的作用优于头皮针捻转法;在神经内科常规药物治疗的同时结合头皮针抽提法能有效提高脑血栓形成后恢复期偏瘫患者的运动功能和ADL能力。
英文摘要:
      Objective To observe the effect of scalp-acupuncture drawing method (SADM) on recovering motor function in hemiplegic patients following cerebral thrombosis at convalescent period. Methods Adopting randomized, single-blinded, controlled method, 93 patients suffering from hemiplegia following cerebral thrombosis were randomly assigned to 3 groups, 31 in each group. All patients were treated based on neurological routine therapy, those in the treated group and the control group Ⅰ were treated respectively with SADM and scalp-acupuncture twirling method (SATM) additionally, but for those in the control group Ⅱ, no additional treatment was given. The treatment course for all was 4 weeks. Results Before treatment, there were insignificant difference among 3 groups in the score of neural motor function deficits (NFDS) of limbs and activity of daily life (ADL) score (P>0.05). After being treated for 4 weeks, the NFDS was significantly lower and the ADL score significantly higher in the treated group and the control group Ⅰ as compared with that in the control group Ⅱ respectively, besides, the efficacy for improving ADL in the treated group was superior to that in the control group Ⅱ (P<0.01, P<0.05) and the change of the scores in the treated group was more than that in the control group Ⅰ (P<0.05). Conclusion SADM was superior to scalp-acupuncture twisting method in improving the patients’ motor function of extremity and ADL in hemiplegia patients following cerebral thrombosis at convalescent period;the combination of conventional medicine and SADM can effectively improve the ADL score and motor function of hemiplegia patients following cerebral thrombosis in the convalescent stage.
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